Attitudes about sibling visitation in the neonatal intensive care unit.
Attitudes about sibling visitation in the neonatal intensive care unit.
复制标题
对新生儿重症监护病房的兄弟姐妹探视的态度。
DOI：
10.1097/00003465-199711000-00008
复制
发表时间：
1997
影响因子：
--
通讯作者：
W. Oh
中科院分区：
文献类型：
--
作者：
E. Meyer;K. Kennally;Effie Zika;W. Cashore;W. Oh
客观化
[目的]调查新生儿重症监护病房实施探亲前后工作人员的态度和建议。
设计
在实施兄弟姐妹探视之前(1992年)和之后(1993年)进行的工作人员调查。
设置
围产期三级护理中心。
参与者
工作人员，包括医生、护士、呼吸治疗师、社会工作者和单位办事员(1992年为139人；1993年为120人)。
测量方法和主要结果
为这项研究设计了一个7分的Likert量表调查(1=强烈不同意：7=强烈同意)。在1992年和1993年，工作人员最强烈地同意探视需要特别监督，应该有指定的时间，增加对兄弟姐妹的了解，加强对婴儿的兄弟姐妹依恋，并提高家庭满意度。对这两年员工进行的Wilcoxon秩和检验表明，员工的态度发生了实质性的变化，倾向于兄弟姐妹探视，包括对护理和托儿所日常工作的干扰较少(P<；.01)，对婴儿呼吸道感染和水痘暴露的风险的担忧较少(P<；.05)。与1992年相比，1993年各学科之间的态度有了更大的一致，这表明在实施后，工作人员对兄弟姐妹探视达成了更好的共识。1992年和1993年的建议最低探视年龄分别为4.67岁和4.05岁。持续10至15分钟的短暂访问一直是建议的。工作人员对兄弟姐妹探视计划的评分从1(非常差)到7(非常成功)不等(中位数=6)。
结论
工作人员对兄弟姐妹探视表示担忧，包括增加感染风险、组织和监督。解决这些问题的兄弟姐妹探视计划可以成功地实施并得到工作人员的支持，从而在新生儿重症监护病房促进以家庭为中心的护理。
OBJECTIVE
To survey the attitudes and recommendations of staff members before and after the implementation of sibling visitation in a neonatal intensive care unit.
DESIGN
Staff survey conducted before (1992) and after (1993) the implementation of sibling visitation.
SETTING
A perinatal tertiary care center.
PARTICIPANTS
Staff members including physicians, nurses, respiratory therapists, social workers, and unit clerks (n = 139 in 1992; n = 120 in 1993).
MEASUREMENTS AND MAIN RESULTS
A 7-point Likert scale survey (1 = strongly disagree: 7 = strongly agree) was designed for the study. In both 1992 and 1993, the staff most strongly agreed that visitation requires special supervision, should have designated times, increases sibling knowledge, enhances sibling attachment to the baby, and increases family satisfaction. Wilcoxon rank sum tests comparing the staff across the 2 years indicated substantial attitudinal changes in favor of sibling visitation, including less perceived interference with nursing care and nursery routines (P < .01) and less concern about the infants' risk of respiratory infection and exposure to chickenpox (P < .05). There was greater attitudinal agreement between disciplines in 1993 than in 1992, suggesting better staff consensus about sibling visitation following its implementation. The recommended minimum age for visitation was 4.67 years and 4.05 years in 1992 and 1993, respectively. Brief visits of 10 to 15 minutes' duration were consistently recommended. Staff rated the sibling visitation program as successful (median = 6) on a scale ranging from 1 (very poor) to 7 (very successful).
CONCLUSIONS
Staff members have concerns about sibling visitation that include increased risk of infection, organization, and supervision. A sibling visitation program that addresses these concerns can be successfully implemented and supported by staff, thereby fostering family-centered care in the neonatal intensive care unit.